With Complete Solutions
*Signs* of *Cyanosis*: Correct Answers -Gray lips and
tongue, nail beds, and soles = blue tinge
-Conjuctiva = Pallor
Difference between EVISCERATION and DEHISCENCE
Correct Answers *EVISCERATION*: EXTRUSION of
VISCERA of intestine through a Sx wound.
*DEHISCENCE*: SEPARATION or SPLITTING open of
layers of a Sx wound.
Drains Correct Answers *PURPOSE OF DRAINS* in PT who
had *RUPTURED APPENDIX*:
-PT usually gets peritonitis (Inflammation of the membrane
lining the abdominal wall and covering the abdominal organs.)
-Main drain used is a *Penrose drain*
-Used to decompress the stomach and prevent abdominal
distention
PT Educaton for PT *Discharged w/JP Drain*:
-PT should ALWAYS measure amount of drainage BEFORE
they discard it.
-Keep incision clean and report CHANGES (abd pain, vomiting
and/or diarrhea)
Healthcare Policies/State and National Level Correct Answers
What is *BCMA*?
Bar code Medication Administration
, -Allows nurses to effectively and safely administer medication
to PT's
-Ensures right provider is giving right PT the right meds in the
right does and right route at the right time for the right reason.
What is the importance of *Computerized Nurse Charting*?
-Enables nurses to document all activities associated w/the
nursing process and serves as repository for stored nursing date
and info that can facilitate clinical decision making and inter-
professional communication.
What is *Practice Guidelines*?
-Recommendations for clinicians on the current BEST
PRACTICES for treatment
-Another type of summary publication
-Designed to summarize findings of the research and advise
practitioners on the current standard of care. Guidelines result in
faster integrating of new evidence into practice and address the
issue of cost and variation in practice.
The use of *Multidisciplinary committees* in the hospital
(Collaboration between different departments) is to improve
quality care. (cafeteria foods, location of departments,
directions, etc).
National Level Guidelines are:
*HIPAA:* Health Insurance Portability and Accountability Act
-Addresses PT Privacy and Consent for use of identifiable
personal health info.
*Americans w/Disabilities Act:*